The exposome, defined as the totality of an individual’s
exposures over the life course, is a seminal concept in the environmental health
sciences. Although inherently geographic, the exposome as yet is unfamiliar to
many geographers. This article proposes a place-based synthesis, genetic
geographic information science (Genetic GISc) that is founded on the exposome,
genome+ and behavome. It provides an improved understanding of human
health in relation to biology (the genome+), environmental exposures
(the exposome), and their social, societal and behavioral determinants (the
behavome). Genetic GISc poses three key needs: First, a mathematical foundation
for emergent theory; Second, process-based models that bridge biological and
geographic scales; Third, biologically plausible estimates of space-time disease
lags. Compartmental models are a possible solution; this article develops two
models using pancreatic cancer as an exemplar. The first models carcinogenesis
based on the cascade of mutations and cellular changes that lead to metastatic
cancer. The second models cancer stages by diagnostic criteria. These provide
empirical estimates of the distribution of latencies in cellular states and
disease stages, and maps of the burden of yet to be diagnosed disease. This
approach links our emerging knowledge of genomics to cancer progression at the
cellular level, to individuals and their cancer stage at diagnosis, to
geographic distributions of cancer in extant populations. These methodological
developments and exemplar provide the basis for a new synthesis in health
geography: genetic geographic information science.